MS-DRG - 436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC
The Medicare Severity Diagnosis-Related Group or MS-DRG is a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). This is the group for MS-DRG - 436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH Complication Comorbidity diseases in version MS-DRG V40.0 applicable from 10/01/2022 through 09/30/2023.
| MS-DRG | MS-DRG Title | MCD | Relative Weight | Geometric LOS | Arithmetic LOS |
|---|---|---|---|---|---|
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | 07 | 1.1004 Relative Weight The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization. |
3.30 Geometric Length of Stay The geometric mean length of stay (GMLOS) is used by Medicare to calculate the reimbursement for patients whose medical treatment takes a much longer or shorter time than average. |
4.20 Arithmetic Length of Stay The average length of stay (ALOS) reflects the average number of days a patient spends in a hospital for each admission. |
ICD-10 Codes in Diagnostic Related Group
- C22.0 - Liver cell carcinoma BILLABLE CODE
- C22.1 - Intrahepatic bile duct carcinoma BILLABLE CODE
- C22.2 - Hepatoblastoma BILLABLE CODE
- C22.3 - Angiosarcoma of liver BILLABLE CODE
- C22.4 - Other sarcomas of liver BILLABLE CODE
- C22.7 - Other specified carcinomas of liver BILLABLE CODE
- C22.8 - Malignant neoplasm of liver, primary, unspecified as to type BILLABLE CODE
- C22.9 - Malignant neoplasm of liver, not specified as primary or secondary BILLABLE CODE
- C23 - Malignant neoplasm of gallbladder BILLABLE CODE
- C24.0 - Malignant neoplasm of extrahepatic bile duct BILLABLE CODE
- C24.1 - Malignant neoplasm of ampulla of Vater BILLABLE CODE
- C24.8 - Malignant neoplasm of overlapping sites of biliary tract BILLABLE CODE
- C24.9 - Malignant neoplasm of biliary tract, unspecified BILLABLE CODE
- C25.0 - Malignant neoplasm of head of pancreas BILLABLE CODE
- C25.1 - Malignant neoplasm of body of pancreas BILLABLE CODE
- C25.2 - Malignant neoplasm of tail of pancreas BILLABLE CODE
- C25.3 - Malignant neoplasm of pancreatic duct BILLABLE CODE
- C25.4 - Malignant neoplasm of endocrine pancreas BILLABLE CODE
- C25.7 - Malignant neoplasm of other parts of pancreas BILLABLE CODE
- C25.8 - Malignant neoplasm of overlapping sites of pancreas BILLABLE CODE
- C25.9 - Malignant neoplasm of pancreas, unspecified BILLABLE CODE
- C78.7 - Secondary malignant neoplasm of liver and intrahepatic bile duct BILLABLE CODE
- C7B.02 - Secondary carcinoid tumors of liver BILLABLE CODE
- D01.5 - Carcinoma in situ of liver, gallbladder and bile ducts BILLABLE CODE
- D37.6 - Neoplasm of uncertain behavior of liver, gallbladder and bile ducts BILLABLE CODE
